,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bcgi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ai1 #bjbc,mrs4  
,capito 7= h]self1 ,ms4 ,/ab5[1 ,mr4    
,m55dez1 & ,mr4 ,wick]7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to provide = c]ta9       
cognitive impairm5t detection 9 !       
,m$ic>e annual wellness visit & initial 
prev5tive physical exam9ation4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,conc5trat+ on ,high-value ,alzheim]'s  
,ne$s to ,get to an ,end ,act ( #bjbc or
 ! ,,*ange ,act ( #bjbc4  #b4 ,f9d+s    
,congress f9ds ! foll[+3 7#a7 ,x is     
e/imat$ t #f4g million ,am]icans are    
liv+ ) ,alzheim]'s disease1 a numb] t is
 e/imat$ to rise to ne>ly #ac4h million 
by #bjfj4 ,ab\t #a 9 #i p age #fe & old]
 h ,alzheim]'s4  7#b7 ,old] ,black      
,am]icans are twice z likely1 & ,lat9o  
,am]icans are #a4e times z likely1 to h 
,alzheim]'s disease ?an old] ,:ite      

,am]icans4 ,ne>ly two-?irds ( ,am]icans 
) ,alzheim]'s disease are wom54  7#c7 ,9
 #bjba1 ,alzheim]'s disease 0 !         
sev5?-lead+ cause ( dea? 9 ! ,unit$     
,/ates4  7#d7 ,address+ modifiable risk 
factors = ,alzheim]'s & o!r types (     
dem5tia su* z hyp]t5sion1 physical      
inactivity1 smok+1 depression1 diabetes1
 obesity1 & poor nutrition might prev5t 
or delay up to #dj p]c5t ( dem5tia      
cases4 ,9 #bjba ! ,national ,plan to    
,address ,alzheim]'s disease 0 updat$ to
 include a new goal to focus on r$uc+   
risk ( develop+ dem5tia4  7#e7 ,an e>ly 
docum5t$ diagnosis communicat$ to !     
pati5t & c>egiv] enables e>ly access to 
c>e plann+ s]vices & available m$ical & 
non-m$ical treatm5ts & optimizes        
pati5ts' ability to build a c>e team1   
p>ticipate 9 support s]vices1 & enroll 9
 cl9ical trials4  7#f7 ,alzheim]'s      
exacts an emotional & physical toll on  
c>egiv]s1 result+ 9 high] incid5ce (    
he>t disease1 canc]1 depression1 & o!r  
heal? consequ5ces4  7#g7 ,m ?an #aa     

million ,am]icans provide unpaid c>e = p
 ) ,alzheim]'s or o!r dem5tia & provid$ 
ne>ly #cdj billion 9 unpaid c>e to p    
liv+ ) ,alzheim]'s & o!r dem5tia 9      
#bjbb4  7#h7 ,9 #bjbc1 x is e/imat$ t   
,alzheim]'s & relat$ dem5tia w co/ our  
nation #cde billion1 n includ+ ! value (
 unpaid c>egiv+4 ,by #bjej1 x is e/imat$
 t ^! direct co/s w increase to ne>ly #a
 trillion4  #c4 ,cognitive impairm5t    
detection b5efit 9 ! ,m$ic>e annual     
wellness visit & initial prev5tive      
physical exam9ation  7a7 ,annual        
,wellness ,visit  7#a7 ,9 g5]al ,section
 #ahfa7;hhh77#b7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is 
am5d$ by /rik+ subp>agraph 7,d7 & ins]t+
 ! foll[+3  7,d7 ,detection ( any       
cognitive impairm5t t %all-- 7i7 be     
p]=m$ us+ "o ( ! cognitive impairm5t    
detection tools id5tifi$ by ! ,national 
,in/itute on ,ag+ z meet+ its crit]ia = 
select+ in/rum5ts to detect cognitive   
impairm5t 9 ! prim>y c>e sett+2 &  7ii7 
include docum5tation ( ! tool us$ =     

detect+ cognitive impairm5t & results ( 
! assessm5t 9 ! pati5t's m$ical record4 
4  7#b7 ,effective date ,! am5dm5t made 
by p>agraph 7#a7 %all apply to annual   
wellness visits furni%$ on or aft]      
,janu>y #a1 #bjbd4  7b7 ,initial        
,prev5tive ,physical ,exam9ation  7#a7  
,9 g5]al ,section #ahfa7ww77#a7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7ww77#a77 is am5d$ by /rik+       
agreem5t ) ! individual1 & & ins]t+     
agreem5t ) ! individual1 detection ( any
 cognitive impairm5t z describ$ 9       
subsection 7hhh77#b77;,d71 &4  7#b7     
,effective date ,! am5dm5t made by      
p>agraph 7#a7 %all apply to initial     
prev5tive physical exam9ations furni%$  
on or aft] ,janu>y #a1 #bjbd4